Q5. When a patient presents with the eye features shown below, what would you ask the patient to determine if the cause if benign or malignant?
Q3. In the condition in the previous slide (horner syndrome), which muscle shown below is responsible for the ptosis?
Q2. While you are examining the patient (see Q1 for history), you are thinking of the differential diagnosis. Which of the following may be helpful in his investigations?
Q1. A 64 yo heavy smoker presents with malaise, fatigue, neck, arm and shoulder discomfort of 3 months duration. Other than a remote appendectomy, his medical history is unremarkable. He has no allergies, no recent travel history and only uses bronchodilators on a PRN basis. As you start to examine him, you note his face. You suspect he has developed?
A. Jaundice
B. Opiate overdose
C. Carotid artery dissection
D. Third nerve palsy
E. Adie pupil
F. Oculosympathetic paresis
Q2. A 20 year old was not wearing a seat belt and was rear ended. He hit his face forcefully with the dashboard and suffered a fracture of the structure shown (see arrow). If there is a leak of clear fluids from his nose, what test will you perform next?
